GOVERNMENT OF INDIA

MINISTRY OF RAILWAYS
RAILWAY RECRUITMENT BOARDS

CEN No.01/2018 (Recruitment of Assistant Loco Pilot (ALP) & Technicians)

Registration No : 310351806

Personal Details
Full Name of Applicant : VAIBHAV RASIK PATEL

Father`s Name: RASIK CHAMPAKLAL PATEL

Mother`s Name : JIDNYASA RASIK PATL

Date of Birth : 25-08-1997

Gender: Male
Aadhar Number : 839541736889 SSLC Board : STATE BOARD
Matriculation / SSLC Roll No : E122195 Year of Passing SSLC / Matriculation : 2013
Nationality : India Religion : Hindu
Mobile Number : 7020505925 E-mail id : vaipatel97@gmail.com

Address For Communication

Full Address : AT UCHHELI POST DANDI , TALUKA PALGHAR ,
State Name : MAHARASTRA District Name : Palghar
Nearest City : Vasai-Virar City Pincode : 401501
Nearest Railway station :

Deatils of Essential Qualification

SSLC/Matriculation Qualification Details
Qualification: SSLC/SSC Board: STATE BOARD
State in which studied: MAHARASTRA District: Palghar
Marks: Percentage Percentage: 67.64
10+2 Qualification Details
Qualification: 10+2 Subject: Physics and Maths
Exam Trade: Electrician Name of institute: M.K JUNIOR COLLEGE CHINCHANI
Year of Passing: 2015
State: MAHARASTRA District: Palghar
Marks: Percentage Percentage: 57.54

Details of higher qualification

Qualification Type: Under Graduate
Qualification: Engineering

Community Details
Community UR

PWD Details
Are you a PWD Candidate? No

Ex Servicemen Details
Are You an Ex-Servicemen ? No
Apprenticeship Course Details
Have you Completed Apprenticeship Course under Apprenticeship Act 1961 ? No
Employee in State / Central Govt / Public Sector Unit ? No

Do you belong to any of the following age relaxation categories ?

a) Domiciled in Jammu and Kashmir during 1.1.1980 to 31.12.1989 ? No
b) Serving Railway Employee No
c) employee in Quasi-admiministartive offices(Canteens, Coopertaive soceities/Institutes) of
No
Railway Organisation

Are you a Candidate from Economically Backward Class ? No

Mother Tongue Gujarati

Choice of Exam language in addition to english(English is default

HINDI
language)
Declaration
I hereby declare that I have gone trough the eligibility criteria for the post(s) applied for and meet all the requirements
there in, that all the details furnished by me in the application are true and complete to the best of my knowledge &
belief and nothing has been concealed or suppressed. I also understand that in case , any of the details furnished is
found untrue during any stage of recruitment or thereafter railway administration shall disqualify me for the post(s)
applied for and /or I shall be liable for any other action under the extant rules.